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What causes sharp pain and bleeding while passing stool?

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I have recently had blood in my stools - the blood in my stools is at the end of a bowel movement - I have checked this by wiping my bottom and examining the stools at the start and there was no blood, I have checked this and wiped my bottom and examined the stools in the middle and also there was no blood in the toilet but a little bit of blood in the toilet paper. However at the end, there is a bit of blood in the stool and all that was from the toilet paper was blood. I have recently had a colonoscopy two and a half weeks ago because at the time I had a lot of gas and porridge like dirraeha, the colonoscopy and biopsy was negative for cancer cells and my gastroenterologist diagnosed me with a rare condition called lymphocyte hyperplasia and told me there was a bit of concussion. He told me at the time there was no haemorrohid or cancer seems like my diarrhea has stopped and in the past week or so, my stools have been very hard solid - for the past 4 days, I have passed banana like stools which are very long pieces and a couple of days ago, I felt the lining sheet of my anus has ripped - when I was passing stools, I felt like a knife has passed through my anus. I generally don't suffer from constipation as I have bowel movement everyday but recently my stools have been very hard solid. Bleeding only occurs at the end of a bowel movement and I do feel a bit of burning sensation afterwards yesterday but when I use Anusol, the burning sensation has helped a bit. There is no abdominal pain or tiredness. Blood is fresh blood - after I had a colonoscopy and biopsy was taken, there was bleeding on my first bowel movement but it stopped afterwards. So therefore I can recognize fresh blood.
Posted Sun, 29 Dec 2013 in Digestion and Bowels
Answered by Dr. Klerida Shehu 4 hours later
Brief Answer: Bleeding,sharp pain,possible anal fissure... Detailed Answer: Hi, I read your medical history carrefully and understood your concerns. The sharp pain you felt could be because of a possible anal fissure you had when you passed hard stool. That explain also the bleeding you have after each bowel movement. At this point, I'd suggest the following to avoid constipation: - eat foods high in fiber - drink more water - take lactuloze to soften the feces - go to bathroom each time you feel a bowel movement; do not delay - do not strain too long when passing the stool - avoid keeping breath when pasing the motion I would also suggest to wash your anus with chamomile tea and use the cream Anusol locally in the anus. If no improvement within the next 4 weeks, I'd suggest to consult proctologist. With regards to lymphocytic hyperplasia it is a condition of high proliferation of lymphocytes at the terminal end of the rectum. It has a different clinic from the one you are experiencing now. Hope it answered to your inquiry! Feel free to ask me other questions you might have! Dr.Klerida
Above answer was peer-reviewed by
Follow-up: What causes sharp pain and bleeding while passing stool? 1 hour later
Dear Doctor, I just wanted to confirm that it is an anal fissure and not a haemorrohoid. I do experience a bit of pain when it comes to passing a bowel movement but pain is not that severe compared to breaking my hand for example. Sometimes for the next half an hour, there is a bit of discomfort and a burning sensation around my anus region and a bit irritating but it will go away till my next bowel movement. As disgusting as it is, when i touch my anus region, i seem to feel a bit of a lump which is only a small lump. In the past, i have had a very very very small amount of blood on the toilet paper as I was wiping my bottom very extensively and not using a dabbing motion. I have never had this amount of blood before although blood seems to be separated from my solid banana stools. Do you think with the lump in mind whether it is a haemorrhoid or an anal fissure?
Answered by Dr. Klerida Shehu 1 hour later
Brief Answer: The small lump in anus-anal fissure edema... Detailed Answer: Hi, Thank you for sending in more of your medical data. If your anal fissure is confirmed, then, please bare in mind that fissure is associated with edema nearby. Each time you have bowel movement, there is laceration of edema, with bleeding. If it was hemorrhoids, it could be shown in the colonoscopy you had, but you are reporting no hemorrhoids. It will take time for the fissure to get better. If you notice anything unusual or changes in your bowel movement or bleeding, please contact proctologist. Wish you health! If you are satisfied with my answer, please close this thread and kindly rate my answer! Dr.Klerida
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Follow-up: What causes sharp pain and bleeding while passing stool? 21 hours later
I also wanted to ask that with an anal fissure, bleeding towards the end of each bowel movement is normal? If bleeding continues towards the end of each bowel movement for one month, it is still classified as being acute? Bleeding has continued on for 5 days already at the end of each bowel movement and Im just a bit concerned. I know that if I do an incomplete bowel movement then I wont see bleeding but if I complete the bowel movement at the end, I will see blood in the toilet and on the toilet paper. The blood on the toilet paper is the same volume as somebody blowing their nose. After the first wipe, then I see very little blood on the second wipe and the third wipe. Since I had the colonoscopy two and a half weeks ago, you think its definitely not cancer? I think because I had banana like hard stools for 4 consecutive days thats the reason why I got the anal fissure and for 2 of those days, I felt my stool resembled a knife coming out of my anus. I feel fine otherwise, no temperature, no abdominal pain, can eat a lot, no tiredness, full of energy. Also, I dont have a lot of pain when I pass soft bowel movements and only a little bit of pain when I pass hard movements - it is a bit sharp but it will only last for 5 seconds or so. There is a bit of discomfort afterwards but it will only last from 10 minutes to 30 minutes.
Answered by Dr. Klerida Shehu 12 hours later
Brief Answer: Please follow the suggestions below... Detailed Answer: Hi, You had colonoscopy two and half weeks ago which resulted normal, no cancer, no hemorrhoids. Please bare in mind that neither hemorrhoids nor cancer cannot show so quickly. So, rest sure that you have anal fissure. However, as I told you earlier, you need to be physically examined by a proctologist now to re-evaluate your situation. You have only 5 days with bleeding, which is acute. If the bleeding won't stop within 3 weeks, then, your condition would become chronic. At the end, I strongly suggest to see a proctologist as soon as possible now to clear up your doubts. Wish you health! Dr.Klerida If you are satisfied with my answer, please close this thread and kindly rate my answer!
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